| NPI | 1487064531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: LA 304968) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX BP1-0049365) |
| Enumeration Date | 2014-04-29 |
| Last Update Date | 2022-07-21 |